Ixi Wellness Bellaire LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IXI WELLNESS BELLAIRE LLC

Practice address

5555 West Loop S Ste 340
Bellaire, TX 77401-2100

Phone

(855) 239-3554

NPI assigned

Mar 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vivian Garakani

Title

Managing Partner

Phone

(561) 951-2160

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1710511522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 WEST LOOP S STE 340",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012132",
            "telephone_number": "713-485-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 WEST LOOP S STE 340",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012100",
            "telephone_number": "855-239-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IXI WELLNESS BELLAIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "GARAKANI",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-951-2160"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.ixiwelness.com",
            "affiliation": "N",
            "endpointDescription": "Secure Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Website",
            "address_1": "5555 West Loop S Ste 340",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774012100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Ireland, CNIM
• William G Irr Jr., MD
• Todd L Istre, DDS
• Linsey Pailo Ittyipe, FNP-C
• Adaku Chinyere Iwu, FNP-BC
• Jack M Thomas MD PLLC
• Ave Sheri Maria Jackson, LCSW-S
• Isabella Jackson, RBT
• Omnike Jackson
• Shonali Jacob

• Clinical Medical Laboratory in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.